|
NR = not reported NA = not applicable -- = the state was not required to complete this section of the state plan template and did not volunteer the information. |
| Identifiers | Standards of Eligibility | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| State | Program | Phase or Component | Amend.# | Duration of Eligibility Specified | Duration of Eligibility (Months) | Presumptive Eligibility | Continuous Eligibility | Other Standards (Not Federally Mandated) | Specify Other Standards (Not Federal) |
| AK | AK Denali KidCare | NA | -- | -- | -- | Yes | -- | ||
| AL | AL SCHIP | Phase 1 | |||||||
| AL | AL SCHIP | Phase 1 | NA | -- | -- | -- | -- | -- | |
| AL | AL SCHIP | All Kids (Phase 2) | |||||||
| AL | AL SCHIP | All Kids (Phase 2) | 1 | Yes | 12 | NR | Yes | Yes | Family must pay premiums for child to remain eligible. |
| AL | AL SCHIP | All Kids (Phase 2) | 2 | ||||||
| AL | AL SCHIP | Plus (Phase 3) | |||||||
| AL | AL SCHIP | Plus (Phase 3) | 2 | Yes | 12 | NR | Yes | Yes | Family must pay premiums for child to remain eligible. |
| AR | AR SCHIP | Phase I - ARKids A | |||||||
| AR | AR SCHIP | Phase I - ARKids A | NA | -- | -- | -- | -- | -- | |
| AR | AR SCHIP | Phase II - ARKids B | |||||||
| AR | AR SCHIP | Phase II - ARKids B | 1 | Yes | 12 | NR | Yes | NR | |
| AS | AS SCHIP | NA | -- | -- | -- | -- | -- | ||
| AZ | KidsCare | NA | Yes | 12 | No | Yes | Yes | Assignment of rights. | |
| AZ | KidsCare | 1 | |||||||
| AZ | KidsCare | 2 | |||||||
| AZ | KidsCare | 3 | |||||||
| AZ | KidsCare | 4 | Yes | ||||||
| CA | Healthy Families | Medi-Cal Expansion | |||||||
| CA | Healthy Families | Medi-Cal Expansion | NA | -- | -- | -- | Yes | -- | |
| CA | Healthy Families | Medi-Cal Expansion | 1 | ||||||
| CA | Healthy Families | Medi-Cal Expansion | 2 | ||||||
| CA | Healthy Families | Health Insurance Plan (MRMIB) | |||||||
| CA | Healthy Families | Health Insurance Plan (MRMIB) | NA | Yes | 12 | NR | Yes | Yes | Family must enroll all eligible children, must pay first month's premium; and, for child to remain enrolled, must continue to pay premiums. |
| CA | Healthy Families | Health Insurance Plan (MRMIB) | 2 | ||||||
| CA | Healthy Families | Health Insurance Plan (MRMIB) | 3 | ||||||
| CA | Healthy Families | Health Insurance Plan (MRMIB) | 4 | ||||||
| CA | Healthy Families | Health Insurance Plan (MRMIB) | 5 | ||||||
| CA | Healthy Families | Access for Infants and Mothers (AIM) | |||||||
| CA | Healthy Families | Access for Infants and Mothers (AIM) | NA | NR | NR | NR | NR | Yes | Family must agree to pay premiums. Enrollment is limited to the number of children that can be served with appropriate funds. |
| CA | Healthy Families | Access for Infants and Mothers (AIM) | 2 | ||||||
| CA | Healthy Families | Access for Infants and Mothers (AIM) | 3 | Children are enrolled in the AIM program if they are born to mothers enrolled in AIM. If mothers are not in the AIM program, the children are enrolled in MRMIB. Family must agree to pay premiums. Enrollment is limited to the number of children that can be served with appropriate funds. | |||||
| CA | Healthy Families | Access for Infants and Mothers (AIM) | 4 | ||||||
| CA | Healthy Families | Access for Infants and Mothers (AIM) | 5 | ||||||
| CA | Healthy Families | Child Health and Disability Prevention Program | |||||||
| CA | Healthy Families | Child Health and Disability Prevention Program | NA | NR | NR | NR | NR | NR | |
| CA | Healthy Families | Child Health and Disability Prevention Program | 2 | ||||||
| CA | Healthy Families | Child Health and Disability Prevention Program | 3 | ||||||
| CA | Healthy Families | California Children`s Services | |||||||
| CA | Healthy Families | California Children`s Services | NA | ||||||
| CA | Healthy Families | California Children`s Services | 2 | ||||||
| CA | Healthy Families | County Mental Health Program | |||||||
| CA | Healthy Families | County Mental Health Program | NA | NR | NR | NR | NR | NR | |
| CA | Healthy Families | County Mental Health Program | 2 | ||||||
| CO | CHP+ | NA | Yes | 12 | No | Yes | NR | ||
| CO | CHP+ | 1 | |||||||
| CO | CHP+ | 2 | |||||||
| CT | HUSKY Program | Part A | |||||||
| CT | HUSKY Program | Part A | NA | Yes | 12 | Yes | Yes | -- | |
| CT | HUSKY Program | Part A | 0 | ||||||
| CT | HUSKY Program | Part A | 1 | ||||||
| CT | HUSKY Program | Part B | |||||||
| CT | HUSKY Program | Part B | NA | Yes | 12 | NR | Yes | NR | |
| CT | HUSKY Program | Part B | 1 | ||||||
| CT | HUSKY Program | HUSKY Plus Plan for Children with Special Physical Health Needs | NA | Yes | 12 | NR | Yes | NR | |
| CT | HUSKY Program | HUSKY Plus Plan for Children with Special Physical Health Needs | 1 | ||||||
| CT | HUSKY Program | HUSKY Plus Behavioral Health Plan | NA | Yes | 12 | NR | Yes | NR | |
| CT | HUSKY Program | HUSKY Plus Behavioral Health Plan | 1 | ||||||
| DC | DC Healthy Kids | NA | Yes | 12 | -- | Yes | -- | ||
| DE | Delaware Healthy Children`s Program | NA | Yes | 12 | No | Yes | NR | ||
| DE | Delaware Healthy Children`s Program | 1 | |||||||
| FL | FL KidCare | Medicaid expansion | |||||||
| FL | FL KidCare | Medicaid expansion | NA | -- | -- | -- | -- | -- | |
| FL | FL KidCare | Medicaid expansion | 1 | Yes | |||||
| FL | FL KidCare | Healthy Kids | |||||||
| FL | FL KidCare | Healthy Kids | NA | NR | NR | NR | No | Yes | Children must be enrolled in school. Local program sites have the option to extend eligibility to younger children who are enrolled in pre-school or who have a school-age sibling. |
| FL | FL KidCare | Healthy Kids | 1 | Yes | |||||
| FL | FL KidCare | Healthy Kids | 3 | ||||||
| FL | FL KidCare | Healthy Kids | 4 | ||||||
| FL | FL KidCare | Medi-Kids | 1 | NR | NR | No | Yes | NR | |
| FL | FL KidCare | Medi-Kids | 4 | ||||||
| FL | FL KidCare | CMS | 1 | NR | NR | NR | Yes | NR | |
| FL | FL KidCare | CMS | 4 | ||||||
| GA | Peach Care for Kids | NA | Yes | 12 | No | NR | NR | ||
| GA | Peach Care for Kids | 0 | |||||||
| GA | Peach Care for Kids | 1 | |||||||
| GU | Guam SCHIP | NA | NR | NR | -- | Yes | -- | ||
| HI | HI SCHIP | Phase I | NA | -- | -- | -- | -- | -- | |
| HI | HI SCHIP | Phase I | 1 | ||||||
| IA | Hawk-I | Medicaid Expansion | NA | -- | -- | -- | -- | -- | |
| IA | Hawk-I | Medicaid Expansion | 4 | ||||||
| IA | Hawk-I | Separate State Program | 1 | Yes | 12 | NR | Yes | NR | |
| IA | Hawk-I | Separate State Program | 2 | ||||||
| IA | Hawk-I | Separate State Program | 3 | ||||||
| IA | Hawk-I | Separate State Program | 4 | ||||||
| ID | ID SCHIP | NA | -- | -- | -- | -- | -- | ||
| ID | ID SCHIP | 1 | |||||||
| ID | ID SCHIP | 2 | Yes | Yes | |||||
| IL | Kidcare | Phase 1 | NA | -- | -- | -- | -- | -- | |
| IL | Kidcare | Phase 2 | 1 | Yes | 12 | NR | NR | Yes | The state will stop taking new applications if the plans' enrollment reaches levels that indicate that fiscal year costs for those currently enrolled are approaching the appropriation. |
| IN | Hoosier Healthwise | Phase 1 | NA | Yes | 12 | No | Yes | -- | |
| IN | Hoosier Healthwise | Phase 1 | 0 | ||||||
| IN | Hoosier Healthwise | Phase 2 | 2 | Yes | 12 | No | Yes | Yes | Families must agree to cost sharing and the program is permitted to adjust eligibility requirements based upon available resources. |
| KS | HealthWave | NA | Yes | 12 | NR | Yes | Yes | Family must agree to pay monthly premium. | |
| KS | HealthWave | 1 | |||||||
| KY | KCHIP | Medicaid Expansion | |||||||
| KY | KCHIP | Medicaid Expansion | NA | -- | -- | Yes | -- | -- | |
| KY | KCHIP | Medicaid Expansion | 1 | ||||||
| KY | KCHIP | Insurance Product | |||||||
| KY | KCHIP | Insurance Product | NA | Yes | 12 | Yes | Yes | NR | |
| KY | KCHIP | Insurance Product | 1 | ||||||
| KY | KCHIP | Insurance Product | 2 | ||||||
| LA | LaCHIP | NA | Yes | 12 | -- | Yes | -- | ||
| LA | LaCHIP | 1 | |||||||
| MA | MassHealth | Standard | NA | No | NA | Yes | -- | -- | |
| MA | MassHealth | Family Assistance Direct Coverage | NA | No | NA | Yes | NR | NR | |
| MA | MassHealth | Family Assistance Premium Assistance | NA | No | NA | Yes | NR | NR | |
| MA | MassHealth | Common Health | NA | No | NA | Yes | NR | NR | |
| MD | Maryland Children`s Health Program | Phase I | NA | -- | -- | -- | -- | -- | |
| MD | Maryland Children`s Health Program | Phase I | 1 | ||||||
| MD | Maryland Children`s Health Program | Phase II | 2 | Yes | 12 | NR | NR | NR | |
| MD | Maryland Children`s Health Program | Phase II- ESI | 2 | Yes | 12 | NR | NR | NR | |
| ME | ME CHIP Medicaid Expansion | NA | Yes | 6 | -- | -- | -- | ||
| ME | Cubcare | NA | Yes | 6 | NR | Yes | No | ||
| ME | Cubcare | 1 | |||||||
| MI | MI SCHIP | MI CHILD | NA | Yes | 12 | Yes | Yes | NR | |
| MI | MI SCHIP | MI CHILD | 1 | ||||||
| MI | MI SCHIP | MI CHILD | 2 | ||||||
| MI | MI SCHIP | Medicaid Expansion | 1 | -- | -- | -- | -- | -- | |
| MI | MI SCHIP | Medicaid Expansion | 2 | ||||||
| MN | Minnesota Medical Assistance Program | NA | -- | -- | -- | -- | -- | ||
| MO | MC+ for Kids | NA | -- | -- | No | No | -- | ||
| MO | MC+ for Kids | 1 | |||||||
| MP | CNMI SCHIP | NA | -- | -- | -- | -- | -- | ||
| MS | MS SCHIP | Phase I | |||||||
| MS | MS SCHIP | Phase I | NA | -- | -- | -- | -- | -- | |
| MS | MS SCHIP | Phase II | |||||||
| MS | MS SCHIP | Phase II | 1 | Yes | 12 | NR | Yes | NR | |
| MS | MS SCHIP | Phase II | 2 | ||||||
| MS | MS SCHIP | Phase II | 3 | ||||||
| MS | MS SCHIP | Employer-sponsored coverage | 1 | Yes | 12 | NR | Yes | NR | |
| MT | MT SCHIP | NA | Yes | 12 | NR | NR | NR | ||
| MT | MT SCHIP | 1 | |||||||
| NC | NC SCHIP | NA | Yes | 12 | NR | Yes | Yes | Family must pay enrollment fees. | |
| NC | NC SCHIP | 1 | |||||||
| NC | NC SCHIP | 2 | |||||||
| NC | NC SCHIP | 3 | |||||||
| NC | NC SCHIP | 4 | |||||||
| NC | NC SCHIP | 5 | |||||||
| ND | Healthy Steps | Phase I | |||||||
| ND | Healthy Steps | Phase I | NA | -- | -- | -- | -- | -- | |
| ND | Healthy Steps | Phase II | |||||||
| ND | Healthy Steps | Phase II | 1 | Yes | 12 | NR | NR | No | |
| NE | Kid`s Connection | NA | -- | -- | Yes | -- | -- | ||
| NE | Kid`s Connection | 1 | Yes | 12 | Yes | ||||
| NH | Healthy Kids | Gold | NA | Yes | 12 | -- | Yes | -- | |
| NH | Healthy Kids | Gold | 1 | ||||||
| NH | Healthy Kids | Silver | NA | Yes | 12 | NR | Yes | NR | |
| NJ | KidCare | Plan A | NA | Yes | 6 | No | No | -- | |
| NJ | KidCare | Plan B | NA | Yes | 12 | No | No | No | |
| NJ | KidCare | Plan B | 1 | ||||||
| NJ | KidCare | Plan B | 3 | ||||||
| NJ | KidCare | Plan B | 4 | Yes | |||||
| NJ | KidCare | Plan C | NA | Yes | 12 | No | No | No | |
| NJ | KidCare | Plan C | 1 | ||||||
| NJ | KidCare | Plan C | 3 | ||||||
| NJ | KidCare | Plan C | 4 | Yes | |||||
| NJ | KidCare | Plan D | 2 | Yes | 12 | No | No | No | |
| NJ | KidCare | Plan D | 3 | ||||||
| NJ | KidCare | Plan D | 4 | Yes | |||||
| NJ | KidCare | 1115 Demonstration | NA | ||||||
| NM | NM SCHIP | NA | Yes | 12 | Yes | Yes | -- | ||
| NM | NM SCHIP | 2 | |||||||
| NM | NM SCHIP | 1115 Demonstration | NA | ||||||
| NV | Nevada Check-Up | NA | No | NA | NR | Yes | No | ||
| NV | Nevada Check-Up | 1 | Yes | 12 | |||||
| NY | NY SCHIP | CHPLUS | |||||||
| NY | NY SCHIP | CHPLUS | |||||||
| NY | NY SCHIP | CHPLUS | NA | Yes | 12 | Yes | NR | NR | |
| NY | NY SCHIP | CHPLUS | 2 | ||||||
| NY | NY SCHIP | Medicaid Expansion | 2 | -- | -- | Yes | -- | -- | |
| OH | OH Child Health Plan | NA | -- | -- | -- | -- | -- | ||
| OH | OH Child Health Plan | 1 | Yes | 12 | |||||
| OK | SoonerCare | NA | -- | -- | -- | -- | -- | ||
| OK | SoonerCare | 1 | |||||||
| OR | OR SCHIP | NA | Yes | 6 | No | NR | Yes | Enrollees must select a health plan. | |
| OR | OR SCHIP | 2 | |||||||
| OR | OR SCHIP | 3 | |||||||
| PA | PA SCHIP | NA | Yes | 12 | NR | Yes | NR | ||
| PA | PA SCHIP | 1 | |||||||
| PA | PA SCHIP | 2 | |||||||
| PA | PA SCHIP | 3 | |||||||
| PA | PA SCHIP | 4 | |||||||
| PR | PR SCHIP | NA | -- | -- | -- | -- | -- | ||
| RI | RIte Care | NA | Yes | 6 | Yes | Yes | -- | ||
| RI | RIte Care | 1 | 12 | ||||||
| RI | RIte Care | 1115 Demonstration | NA | ||||||
| SC | Partners for Healthy Children | NA | -- | -- | -- | -- | -- | ||
| SD | SD SCHIP | NA | -- | -- | -- | -- | -- | ||
| SD | SD SCHIP | 1 | |||||||
| SD | SD SCHIP | 2 | |||||||
| SD | SD SCHIP | CHIP NM | 3 | Yes | 12 | No | NR | No | |
| TN | Tennessee`s CHIP | Phase I | NA | -- | -- | -- | -- | -- | |
| TX | Texas Healthy Steps | Phase I | |||||||
| TX | Texas Healthy Steps | Phase I | NA | -- | -- | -- | -- | -- | |
| TX | Texas Healthy Steps | Phase II | |||||||
| TX | Texas Healthy Steps | Phase II | 1 | Yes | 12 | NR | Yes | No | |
| UT | UT SCHIP | NA | Yes | 12 | NR | NR | NR | ||
| VA | VA SCHIP | Children's Medical Security Insurance Plan/Family Access to Medical Insurance Security Plan | NA | Yes | 12 | NR | No | Yes | Parents/guardians must meet requirements on assignment of rights to benefits; must cooperate with agency in obtaining medical support or payment and in identifying and providing information to assist the state in pursuing any liable third party. |
| VA | VA SCHIP | Children's Medical Security Insurance Plan/Family Access to Medical Insurance Security Plan | 1 | ||||||
| VA | VA SCHIP | Family Access to Medical Insurance Security Plan (FAMIS) - ESI | 1 | Yes | 12 | NR | No | Yes | Parents/guardians must meet requirements on assignment of rights to benefits; must cooperate with agency in obtaining medical support or payment and in identifying and providing information to assist the state in pursuing any liable third party. |
| VI | Virgin Island`s SCHIP | NA | -- | -- | -- | -- | -- | ||
| VI | Virgin Island`s SCHIP | 1 | |||||||
| VT | VT SCHIP | NA | NR | NA | NR | NR | NR | ||
| VT | VT SCHIP | 1 | |||||||
| VT | VT SCHIP | 2 | |||||||
| VT | VT SCHIP | 3 | |||||||
| WA | WA SCHIP | NA | Yes | 12 | Yes | Yes | NR | ||
| WA | WA SCHIP | 1 | No | ||||||
| WI | BadgerCare | Medicaid expansion | |||||||
| WI | BadgerCare | Medicaid expansion | NA | -- | -- | No | -- | -- | |
| WI | BadgerCare | Medicaid expansion | 1 | ||||||
| WI | BadgerCare | Employer-sponsored Coverage | 1 | -- | -- | No | -- | Yes | For adults (those over 18), only custodial parents of children under age 19 are eligible. |
| WI | BadgerCare | NA | |||||||
| WV | WV SCHIP | Phase I | NA | -- | -- | -- | -- | -- | |
| WV | WV SCHIP | Phase I | 2 | ||||||
| WV | WV SCHIP | Phase II | 1 | Yes | 12 | NR | Yes | NR | |
| WV | WV SCHIP | Phase II | 2 | ||||||
| WV | WV SCHIP | Phase II | 3 | ||||||
| WY | WY SCHIP | CHIP One | NA | Yes | 12 | NR | Yes | NR | |